{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T19:37:43Z","timestamp":1790969863782,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,4,29]],"date-time":"2018-04-29T00:00:00Z","timestamp":1524960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Oral Pathology Medicine"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Clinically identifiable potentially malignant disorders (<jats:styled-content style=\"fixed-case\">PMD<\/jats:styled-content>) precede oral squamous cell carcinoma development. Oral lichenoid lesions (<jats:styled-content style=\"fixed-case\">OLL<\/jats:styled-content>) and proliferative verrucous leukoplakia (<jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content>) are specific precursor lesions believed to exhibit both treatment resistance and a high risk of malignant transformation (<jats:styled-content style=\"fixed-case\">MT<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of 590 <jats:styled-content style=\"fixed-case\">PMD<\/jats:styled-content> patients treated in Northern England by CO<jats:sub>2<\/jats:sub> laser surgery between 1996 and 2014 was carried out. Lesions exhibiting lichenoid or proliferative verrucous features were identified from the patient database and their clinicopathological features and outcome post\u2010treatment determined at the study census date of 31 December 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and 98 patients were identified as follows: 118 <jats:styled-content style=\"fixed-case\">OLL<\/jats:styled-content> and 80 <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content>, most frequently leukoplakia at ventrolateral tongue and floor of mouth sites, equally distributed between males and females. Most exhibited dysplasia on incision biopsy (72% <jats:styled-content style=\"fixed-case\">OLL<\/jats:styled-content>; 85% <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content>) and were treated by laser excision rather than ablation (88.1% <jats:styled-content style=\"fixed-case\">OLL<\/jats:styled-content>; 86.25% <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content>). <jats:styled-content style=\"fixed-case\">OLL<\/jats:styled-content> were more common in younger patients (<jats:styled-content style=\"fixed-case\">OLL<\/jats:styled-content> 57.1\u00a0year; <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content> 62.25\u00a0years; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.008) and more likely than <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content> to present as erythroleukoplakia (<jats:styled-content style=\"fixed-case\">OLL<\/jats:styled-content> 15.3%; <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content> 2.5%; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.003). Whilst no significant difference was seen between <jats:styled-content style=\"fixed-case\">OLL<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content> achieving disease\u2010free status (69.5% and 65%, respectively; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.55), this was less than the overall <jats:styled-content style=\"fixed-case\">PMD<\/jats:styled-content> cohort (74.2%). <jats:styled-content style=\"fixed-case\">MT<\/jats:styled-content> was identified in 2 <jats:styled-content style=\"fixed-case\">OLL<\/jats:styled-content> (1.7%) and 2 <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content> (2.5%) during follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>One\u2010third of <jats:styled-content style=\"fixed-case\">PMD<\/jats:styled-content> cases showed features of <jats:styled-content style=\"fixed-case\">OLL<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content>, probably representing a disease presentation continuum. Post\u2010treatment disease\u2010free status was less common in <jats:styled-content style=\"fixed-case\">OLL<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content>, although <jats:styled-content style=\"fixed-case\">MT<\/jats:styled-content> was infrequent.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jop.12716","type":"journal-article","created":{"date-parts":[[2018,4,17]],"date-time":"2018-04-17T04:34:00Z","timestamp":1523939640000},"page":"557-565","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Potentially malignant disorders revisited\u2014The lichenoid lesion\/proliferative verrucous leukoplakia conundrum"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2007-7975","authenticated-orcid":false,"given":"Peter J.","family":"Thomson","sequence":"first","affiliation":[{"name":"Faculty of Dentistry Oral &amp; Maxillofacial Surgery The University of Hong Kong Hong Kong, SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela L.","family":"Goodson","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry Oral &amp; Maxillofacial Surgery The University of Hong Kong Hong Kong, SAR China"},{"name":"Newcastle University Medicine Malaysia Iskandar Puteri Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel R.","family":"Smith","sequence":"additional","affiliation":[{"name":"Newcastle University Medicine Malaysia Iskandar Puteri Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118702840.ch3"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2008.05.016"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2016.11.001"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jop.12626"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jop.12625"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21131"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2015.08.268"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2017.02.1026"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.2016.121"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5154.147830"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(85)90315-9"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jop.12641"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2013.08.005"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2014.01.007"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2006.09.006"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/his.12036"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2016.12.005"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.15.e839"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-237X.114887"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2015.08.263"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-0825.2009.01632.x"}],"container-title":["Journal of Oral Pathology &amp; Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjop.12716","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jop.12716","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T12:10:29Z","timestamp":1694952629000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jop.12716"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,29]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1111\/jop.12716"],"URL":"https:\/\/doi.org\/10.1111\/jop.12716","archive":["Portico"],"relation":{},"ISSN":["0904-2512","1600-0714"],"issn-type":[{"value":"0904-2512","type":"print"},{"value":"1600-0714","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,29]]},"assertion":[{"value":"2018-04-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}